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MS. MARISSA ANN BUCCELLATO PA-C
NPI 1649756438
Physician Assistant in New York, NY

Active since July 14, 2018PECOS Enrolled
170 WILLIAM ST, NEW YORK, NY 10038(212) 312-5000 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2018, Jul 14, 2018 (2 updates tracked since 2018).

About Ms. Marissa Ann Buccellato Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARISSA ANN BUCCELLATO PA-C (NPI 1649756438) is an individual physician assistant in New York, New York, licensed in New York (22452) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649756438
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MARISSA ANN BUCCELLATOCredential: PA-C
Location Address170 WILLIAM STNew York, NY 10038
Mailing Address464 Medina StStaten Island, NY 10306-4433 · (917) 359-4311
Phone(212) 312-5000
Sole ProprietorNo
Enumeration DateJuly 14, 2018
Last NPPES UpdateAugust 3, 20182 updates tracked since enumeration
✔ NPI 1649756438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 22452✔ Licensed in NY · 022452
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
170 WILLIAM ST, New York, NY 10038
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Marissa Ann Buccellato Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KURT BELEN RN
Nurse Anesthetist, Certified Registered
170 WILLIAM ST
NEW YORK, NY 10038
New York County (313) 410-1988
MEGAN O'NEILL DPT
Physical Therapist
170 WILLIAM ST, REHAB DEPARTMENT
NEW YORK, NY 10038
New York County (212) 312-5335
DOWNTOWN NUCLEAR CARDIOLOGY, P.C.
Nuclear Medicine (Nuclear Cardiology)
170 WILLIAM ST, SUITE 814
NEW YORK, NY 10038
New York County (212) 312-5000
BRUCE LOGAN MD
Internal Medicine
170 WILLIAM ST, FL 7
NEW YORK, NY 10038
New York County (212) 312-5000
DR. SIMIN SOLTANI FRISK M.D.
Anesthesiology
170 WILLIAM ST, SUITE 288 WEILL CORNELL MEDICINE LMH,
NEW YORK, NY 10038
New York County (212) 312-5243
WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY
Internal Medicine
170 WILLIAM ST
NEW YORK, NY 10038
New York County (212) 590-5741
MR. PAUL JOSEPH GAGLIO JR. PHYSICIAN ASSISTANT
Physician Assistant (Medical)
170 WILLIAM ST
NEW YORK, NY 10038
New York County (212) 312-5746
ALYSSA LYNNE SANDGRUND M.S.PA-C
Physician Assistant
170 WILLIAM ST
NEW YORK, NY 10038
New York County (212) 312-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Buccellato's NPI number?

The NPI number for Marissa Buccellato is 1649756438. It was assigned to this individual provider in the NPPES registry on July 14, 2018.

Where is Marissa Buccellato located?

Marissa Buccellato practices at 170 William St, New York, NY 10038. The listed phone number is (212) 312-5000.

What is Marissa Buccellato's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marissa Buccellato enrolled in Medicare?

Yes. Marissa Buccellato is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Buccellato was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.